Non-Profit Capabilities Post Sandy Question Title * 1. Does your agency provide direct service? Yes No If yes, can you estimate how many people are served daily? Question Title * 2. What type of service(s) do you provide? addiction services after school/tutorial services community prevention programs early childhood programs eviction prevention family violence prevention food access foster care homeless shelter for families homeless shelter for individuals in-home services for elderly legal services meals to seniors meals to veterans medical services mental health services other other services for elderly other services to kids other veteran services placement for homless families senior center shelter to veterans youth shelter Question Title * 3. Has you ability to serve your constituencies been impacted by Superstorm Sandy? Yes No Question Title * 4. Are some or all of your facilities temporarily closed due to the storm? Yes No Question Title * 5. How has your ability to serve been impacted? Check all that apply. power down flood damage other physical damage phones down internet down staff/client transportation limitations Other (please specify) Question Title * 6. If you do not have power, are you relying on a generator to keep services going? Yes No N/A (have power) Question Title * 7. Approximately how many clients do you think you were unable to serve that would normally receive services? Question Title * 8. Do you expect an increase in the number of people seeking help? Yes No Question Title * 9. Do you expect increased demand for services across the board? Yes No Question Title * 10. Do you anticipate long term delays (more than 1 week) for full restoration of services? Yes No Question Title * 11. Have you shifted or do you anticipate shifting the focus of your work for some period of time to respond to new client needs or new clients as a result of Sandy? Yes No Question Title * 12. Do you serve populations that have been evacuated? Yes No Question Title * 13. Have all of the families who were evacuated been accounted for? Yes No N/A Question Title * 14. Are your services funded in full or in part through a government contract? (check all that apply) Federal State City Question Title * 15. Name of your Organization (optional): Question Title * 16. Additional comments: Done